观察心理护理对乙肝肝硬化失代偿期患者生活质量的影响

To Observe the Effect of Psychological Nursing on the Quality of Life of Patients with Liver Cirrhosis in the Decompensated Period

目的 探讨对乙肝肝硬化失代偿期患者给予心理护理后对生活质量产生的影响。方法 选取2018年1月至2021年2月收治的90例乙肝肝硬化失代偿期患者进行护理研究;随机分为普通护理组(普通护理)和心理护理组(普通护理+心理护理),各45例;比较两组患者不良反应(消化道出血、感染、电解质紊乱、肝肾综合征、肝性脑病)、生活质量(躯体疼痛、角色受限、感情因素、生命活力、精神健康、社交能力、活动能力、总体健康)。结果 对比两组不良反应(消化道出血、感染、电解质紊乱、肝肾综合征、肝性脑病)总发生率,差异明显(P <0.05);心理护理组躯体疼痛(78.59±3.59)分、角色受限(78.62±4.11)分、感情因素(78.22±1.59)分、生命活力(79.93±6.23)分、精神健康(80.13±2.59)分、社交能力(80.55±6.23)分、活动能力(85.26±5.21)分、总体健康(79.29±4.25)分高于普通护理组躯体疼痛(62.29±4.13)分、角色受限(62.15±5.22)分、感情因素(61.39±4.29)分、生命活力(61.44±3.55)分、精神健康(70.23±5.29)分、社交能力(65.29±3.14)分、活动能力(63.22±4.59)分、总体健康(66.13±6.15)分(P <0.05)。结论 合理应用心理护理后,患者消化道出血、感染、电解质紊乱、肝肾综合征、肝性脑病等不良反应显著减少;患者躯体疼痛、角色受限、感情因素、生命活力、精神健康、社交能力、活动能力、总体健康等生活质量评价指标评分结果获得显著提高,可促进乙肝肝硬化失代偿期患者预后能力提升。

Objective To explore the influence of psychological nursing on the quality of life of patients with decompensated hepatitis B cirrhosis.Methods Ninety patients with decompensated hepatitis B cirrhosis admitted from January 2018 to February 2021 were selected for nursing research.They were randomly divided into general nursing group(general nursing) and psychological nursing group(general nursing + psychological nursing), with 45 cases each. The adverse reactions(gastrointestinal hemorrhage, infection, electrolyte disorder, hepatorenal syndrome, hepatic encephalopathy), quality of life(physical pain, role limitation, emotional factors, vitality, mental health, social ability, activity ability, and overall health) were compared between the two groups. Results The total incidence of adverse reactions(gastrointestinal hemorrhage, infection, electrolyte disorder, hepatorenal syndrome, hepatic encephalopathy) was significantly different between the two groups(P<0.05). The scores of physical pain(78.59±3.59), role limitation(78.62±4.11), emotional factors(78.22±1.59), vitality(79.93±6.23), mental health(80.13±2.59), social ability(80.55±6.23), activity ability(85.26±5.21), overall health(79.29±4.25) in the psychological nursing group were higher than those in the general nursing group the scores of physical pain(62.29±4.13), role limitation(62.15±5.22), emotional factors(61.39±4.29), vitality(61.44±3.55), mental health(70.23±5.29), social ability(65.29±3.14), activity ability(63.22±4.59) and overall health(66.13±6.15)(P<0.05).Conclusion After rational application of psychological nursing, the adverse reactions such as gastrointestinal hemorrhage, infection, electrolyte disorder, hepatorenal syndrome and hepatic encephalopathy were significantly reduced, the scores of patients’ physical pain, role limitation,emotional factors, vitality, mental health, social ability, activity ability, overall health and other quality of life evaluation indicators were significantly improved, which can promote the improvement of the prognosis of patients with decompensated hepatitis B cirrhosis.